| NPI | 1285276022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 61962) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 13198) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2024-01-11 |